PMT16-03239 City of Menifee Permit No.: PMT16-03239
29714 HAUN RD. Type: Commercial Electrical
<A—CCELA—'? MENIFEE, CA92586
W'k-- MENIFEE Date Issued: 12113/2016
P E R M I T
SiteAddress: 28410 ENCANTO DR,MENIFEE, CA Parcel Number: 336-030-011
92586 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of INSTALL GROUND MOUNTED SOLAR SYSTEM, 80 PANELS,3 INVERTERS,2 LINE SIDE TAPS,25.6
Work: kW
Owner Contractor
HALTER HILLSIDE APTS RENEWABLE ENERGY PARTNERS INC
28410 ENCANTO DRIVE 170 N MAPLE#105
MENIFEE,CA 92585 CORONA, CA 92880
Applicant Phone:8555196633
MARTIN FLORES License Number:989857
RENEWABLE ENERGY PARTNERS INC
170 N MAPLE#105
CORONA, CA 92880
Fee Descirlptlon City Amount($1
Building Permit Issuance 1 27.00
Inspections not specified 516 516.28
Additional Plan Review Electrical 420 420.00
GREEN FEE 1 1.00
SMIP COMMERCIAL 1 7.00
General Plan Maintenance Fee-Building 1 25.81
$997.09
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of MenifLe.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_PerrniLTernpIate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION propertywho buildsor improvesthereon,and who contracts forthe projects
I herebyaffirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class (' 10 License No. By my signature below I acknowledge that,except for my personal residence
Expires_���Slgnature In which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder If it has not been constructed in its entirety by
o I hereby affirm under penalty of perjury one of the following declarations.I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.gov/calaw.htmi.
Policy# Date
*�I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation Insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier im, building construction.I authorize representatives of this city or county to
Policy# —Expires enter the above identified property for inspection purposes.
(This section need notto be completed is the permit 11 for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
cr I certify that in the performance of the work for which this permit is issued,
shallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwi isions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION CbV&AGE IS a Yes a No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FO occupant require a permit for the construction or modification from South
R Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ci Yes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes ci No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(5)I have placed next to the applicable item(s)(Section 7031.5 ciYes n No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
Issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the previsions of the Contractor's State EPA RENOVATION,REPAIRAND PAIN71NG(RRP)
License Law(Chapter 9(commencingwith Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)orthat he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
a 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do I )all of or( I portion of the work,and the structure is www,epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. u No EPA Lead-Safe Certified Firm is required for this project because:
o 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
A.- Me.nifee
DATE 09/30/2016 PERMIT/PLAN CHECK NUMBER
TYPE: RICOMMERCIAL F]RESIDENTIAL F]MULTI-FAMILY F]MOBILEHO ME [—]POOL/SPA OSIGN
SUBTYPE: FIADDITION F . ibk
]ALTERATION E]DEMOLITION R]ELECTRICAL []MECHAq Menifee
EINEW []PLUMBING F—IRE-ROOF-NUMBER OF SQUARES— Building�Safety D I.
DESCRIPTION OF WORK 25.6kW P.V.System,80 modules,3 invertem,2 line side taps,ground mount OCT 0 3 2016
PROJECTAIDDRESS 28410 Encanta Dr,Sun City CA 92586 FOCeiVeF
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME HALTER HILLSIDE APARTMENTS
ADDRESS 28410 ENCANTO DR,SUN CITY CA92880
PHONE (951)679-5803 EMAIL
APPLICANT NAME MARTIN FLORES
ADDRESS 170 N MAPLE ST#105,CORONA CA 92880
PHONE (951)214-0847 EMAIL MARTIN.FLORES@RENEWEPI.COM
CONTRAcrolil NAME RENEWABLE ENERGY PARTNERS INC OWNERBUILDER? E]YESONC)
BUSINESSNAME RENEWABLE ENERY PARTNERS INC
ADDRESS 170 N MAPLE ST#105,CORONA CA 92880
PHONE (951)616-3333 EMAIL MARTIN.FLORES@RENEWEPI.COM
CONTRACTOR'S STATE LIC NUMBER 989867 LICENSE CLASSIFICATION CIO
VALUATION$ $25.000.00 SO FT L SO FT
APPLICANT'S SIGNATURE L-2�2—� DATE 9/30/16
CITYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE SMIP
INVOICE PAID AMOUNT
AMOUNT I OCASH OCHECKII OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASIA C)CHECKII 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED C)YES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Depot tn7ent 29714 Houn Rd. Menifec, CA 92586 951-672-6777
www.cityofaTenifec.us inspection Request Line 951-246-6213